Chii chinonzi mucormycosis, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru nezviratidzo
• Mhando dze mucormycosis
• Zvinogona kukonzerwa
• Maitiro ekuongororwa kunoitwa
• Mucormycosis kurapwa

Mucormycosis, yaimbozivikanwa seyygomycosis, izwi rinoshandiswa kureva boka rezvirwere zvinokonzerwa nefungi yehurongwa Mucorales, kazhinji nefungus. Rhizopus spp. Zvirwere izvi hazvipfuurirwe kubva kune mumwe munhu zvichienda kune mumwe uye zvinowanzoitika kune vanhu vane hutachiona hwakadzika kana vane chirwere cheshuga chisingadzorwe.

Chirwere ichi chinoitika kana fungi yafemereka, ichienda kumapapu, kana kana ichipinda mumuviri kuburikidza nekucheka paganda, zvichitungamira pakuonekwa kwezviratidzo zvinoenderana nenhengo yakatapukirwa, uye panogona kuve nemusoro wakakomba, fever , kuzvimba, kutsvuka kumeso uye kubuda kukuru kubva mumaziso nemumhino. Kana mucormycosis yasvika kuuropi, kubatwa, kunetseka kutaura uye kunyangwe kurasikirwa kwekuziva kunogona kuitika.

Kuongororwa kwe mucormycosis kunoitwa nachiremba mukuru kana chirwere chinotapuriranwa kuburikidza nekomupira tomography uye fungal tsika uye kurapwa kunowanzoitwa nekushandisa injekiseni kana yemumuromo antifungal zvinodhaka, senge Amphotericin B.

Zviratidzo zvikuru nezviratidzo

Zviratidzo nezviratidzo zve mucormycosis zvinogona kusiyana zvichienderana nedanho rekuzvidzivirira kwemunhu uye nhengo inobatwa nefungus, uye panogona kuve ne:

• Mhino: iyo ndeimwe yemitezo yakanyanya kubatwa nechirwere ichi uye inotungamira pakuonekwa kwezviratidzo zvakafanana nesinusitis, senge yekumhino mhino, kurwadziwa mumatama uye greenish phlegm, asi mumatambudziko akaipisisa, kuzvimba kumeso, kurasikirwa kwetishu kubva kudenga muromo kana shwashwa yemhino;
• Maziso: kuratidzwa kwe mucormycosis kunogona kuonekwa kuburikidza nematambudziko mune zvakaratidzwa sekutambudzika pakuona, kuunganidzwa kweyeyero kubuda uye kuzvimba kwakatenderedza maziso;
• Mapapu: kana fungi yasvika pane ino nhengo, kukosora nehukuru hwakawanda hweguruva kana ropa kunogona kuitika, kurwadziwa muchipfuva uye kunetseka kufema;
• Uropi: nhengo iyi inokanganisika kana mucormycosis ichipararira uye inogona kukonzera zviratidzo zvakaita sekubatwa, kunetsekana kutaura, shanduko mutsinga dzechiso uye kunyangwe kurasikirwa kwekuziva;
• Ganda: Mucormycosis fungi inogona kutapura matunhu eganda, uye kutsvuka, kuomarara, kuzvimba, maronda anorwadza anogona kuoneka uye, mune mamwe mamiriro, anogona kuve mablister uye oita maronda akavhurika-anotaridzika-matema.

Mune mamwe mamiriro epamberi, munhu ane mucormycosis anogona kunge aine bhuruu tinge paganda neminwe yepepuru uye izvi zvinokonzerwa nekushayikwa kwe oxygen yakakonzerwa nekuunganidzwa kwe fungi mumapapu. Uye zvakare, kana hutachiona husinga zivikanwe nekurapwa, fungus inogona kutapukira nekukurumidza kune dzimwe nhengo, kunyanya kana munhu aine hutachiona hwakanyanya, achisvika kuitsvo nemoyo nekuisa hupenyu hwemunhu panjodzi.

Mhando dze mucormycosis

Mucormycosis inogona kuve yakakamurwa kuita akati wandei maringe nenzvimbo yehutachiona hutachiona, uye inogona kuve:

• Rhinocerebral mucormycosis, inova ndiyo inonyanya kufarirwa chirwere ichi, uye huwandu hwezviitiko izvi hunoitika kuvanhu vane chirwere cheshuga chakadzikira. Mune mhando iyi, fungi inoputira mhino, zvitadzo, maziso nemuromo;
• Pulmonary mucormycosis, umo fungi inosvika mumapapu, ichi chiri kuratidzwa kwechipiri kwakanyanya;
• Yakatemwa mucormycosis, iyo inosanganisira kupararira kwehutachiona hwefungal muzvikamu zveganda, izvo zvinogona kusvika kusvika mhasuru;
• Mudumbu mucormycosis, umo fungus inosvika padumbu, ichiva chisingawanzo kuitika.

Kune zvakare mhando ye mucormycosis, inonzi inoparadzirwa, iyo inowanzoitika uye inoitika apo fungi inofamba ichienda kune dzakasiyana nhengo mumuviri, senge moyo, itsvo uye huropi.

Zvinogona kukonzerwa

Mucormycosis iboka rehutachiona hunokonzerwa nefungi yehurongwa Mucorales, akajairika kuve Rhizopus spp., ayo anowanikwa munzvimbo dzakasiyana munzvimbo, senge zvinomera, ivhu, michero uye zvigadzirwa zvinoora.

Kazhinji, aya mafungi haakonzeri matambudziko ehutano, sezvo achigona kurwiswa nema immune system. Kukura kwezvirwere kunoitika kunyanya muvanhu vane hutachiona husina simba, hunowanzoitika muvanhu vane chirwere cheshuga. Uye zvakare, vanhu vane hutachiona hwakaderera nekuda kwezvirwere zvakaita seHIV, kushandiswa kwemishonga yekuzvidzivirira kana imwe mhando yekuisa, senge mwongo wemapfupa kana nhengo, vane mukana wakakura wekuvamba mucormycosis.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwe mucormycosis kunoitwa nachiremba mukuru kana chirwere chinotapurika nekuongorora nhoroondo yehutano hwemunhu uye computed tomography, iyo inoshanda kuongorora nzvimbo uye huwandu hwehutachiona. Sputum tsika inoitwawo, iyo yakavakirwa pakuongorora mapapu ezvekuona hutachiona hune hukama nehutachiona.

Mune zvimwe zviitiko, chiremba anogona zvakare kukumbira kuongororwa kwemamorekuru, senge PCR, kuti uone mhando dzefungus uye, zvichienderana nehunyanzvi hwashandiswa, huwandu huripo mumuviri, uye imagineti yemagineti yekufungisisa kuti uone kana mucormycosis yasvika zvimiro zvehuropi, semuenzaniso. Iyi bvunzo inofanira kuitwa nekukurumidza sezvazvinogona, nekuti iyo inokurumidza kuongororwa kuongororwa, mikana yakawanda iripo yekubvisa hutachiona.

Mucormycosis kurapwa

Mushonga we mucormycosis unofanirwa kuitwa nekukasira, pachangowanikwa chirwere, kuitira kuti mikana yekurapa iwedzere uye inofanira kuitwa zvinoenderana nezano rachiremba, uye kushandiswa kweantifungal zvakananga mutsinga, seAmphotericin, inogona kuratidzwa. B, kana Posaconazole, semuenzaniso. Zvakakosha kuti mishonga ishandiswe zvinoenderana nekurudziro yezvokurapa uye kuti kurapwa kunomiswa kunyangwe pasisina zviratidzo.

Uye zvakare, zvichienderana nekukura kwehutachiona, chiremba anogona kukurudzira kuvhiya kuti abvise iyo necrotic tishu inokonzerwa nefungus, iyo inonzi debridement. Hyperbaric kamuri yekurapa inogona zvakare kukurudzirwa, zvisinei, hapasati pave nezvakakwana zvidzidzo zvekuratidza kushanda kwayo. Dzidza zvakawanda nezve mashandiro anoita hyperbaric kamuri.